Jason Kevin Brooks, LCSW
Individual provider Active NPI Clinical Social Worker · Powder Springs, GA
NPI 1558053223 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1558053223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW007859 (GA)
- Practice address
- 4299 Maclaren CT
Powder Springs, GA 30127-1799 - Phone
- (404) 857-2877
- Fax
- (404) 857-2877
- NPI assigned
- May 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW007859 | GA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | CSW007859 | GA | Yes |
Addresses
Primary practice location
4299 Maclaren CT
Powder Springs, GA 30127-1799
Mailing address
4299 Maclaren CT
Powder Springs, GA 30127-1799
Phone (404) 857-2877
Other providers in Powder Springs, GA
- Linda Branch
- Kimberly Bray
- Shannon Leigh Brice
- Bridges Homemaker and Companion Services
- Bright Luminaries ABA, LLC
- Sheila Brooks
- Brenda R. M. Brown
- Jeremia Brown
- Leonard L. Brown Jr.
- Hannah Buckner
All providers in Powder Springs, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.